| Source NDC Code |
|
Target HCPCS Code |
61703-0311-43
ACYCLOVIR SODIUM (VIAL) 25 MG/ML
|
⇄
|
J0133
INJECTION, ACYCLOVIR, 5 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2006 |
| Relationship End Date |
4/24/2006 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
61703-0311-43
ACYCLOVIR SODIUM (VIAL) 25 MG/ML
|
⇄
|
Q4075
INJECTION, ACYCLOVIR, 5 MG
|
| Detail Information |
| Relationship Start Date |
10/1/2003 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|